In the case of the prevention of catheter-associated urinary tract infections (CAUTI) related to healthcare provision, high-quality and comprehensively provided nursing care is essential. Implementation of preventive strategies is based on recommended procedures, and the introduction of whole sets of measures has been shown to be effective. The objective of this research is to find out whether the providers of acute bed care have implemented the steps of CAUTI prevention, and specifically which measures leading to improved quality of care in the area of urinary infections are already in place. To determine this, we carried out quantitative research. Data were collected using a questionnaire-based investigation; we used two non-standardised and one standardised questionnaire, and the respondents were general nurses in management positions (n = 186). The results revealed that result-related CAUTI indicators are monitored by only one-third of the respondents, and records of catheterisation indication are not kept by 17.3% of general nurses. The results of the research showed deficiencies in the monitoring of CAUTI outcome and process indicators, and a weakness of the implemented preventive measures is the maintenance of catheterisation documentation. Periodic CAUTI prevention training is not implemented as recommended. It is positive that there are well-working teams of HAI prevention experts in hospitals.
a Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, Ústav ošetřovatelství, porodní asistence a neodkladné péče, České Budějovice, Česká republika b Západočeská univerzita v Plzni, Fakulta zdravotnických studií, katedra ošetřovatelství a porodní asistence, Plzeň, Česká republikaThe goal was to write a review article which would summarize the conclusions of empirical studies on the effectiveness of preventive programs established in hospitals over the last 5 years. Incorporated research studies were found by using seven electronic databases on nursing and related health professional research (full text databases: Cinahl, Ebsco, Nursing Ovid, ProQuest STM+ Hospital Collection -Medline, Science Direct and citation databases PubMed and Scopus) entering keywords: accidental falls, effectiveness, fall prevention programs, institution. Other search criteria were: full text, reviewed publications, English language, human subject (human) and research results published within the last 5 years (namely 2011-2016).Twelve research studies meeting the required criteria were incorporated in the final review. The most often mentioned intervention strategy was the education of patients and staff. Whether the programs, which were focused on educational influence, are effective depends on areas involving the so called "soft-factors", i.e. compliance, leadership, and proper team training, along with information technology support, both with staff and -in certain fields -patients.Curriculums of the currently preferred multifaceted intervention program involve education. The focus and course of the education process should correspond with the information from the field of fall prevention, gained by evidence-based nursing, and respect the individual assessment of each patient, as is stated by most authors of related research studies. S O U H R N Cílem přehledové studie bylo shrnout závěry empirických výzkumů o efektivitě zavedených preventivních programů v oblasti pádů pacientů či klientů nemocničních zařízení s poskytovanou ošetřovatelskou péčí za uplynulých 5 let. * Korespondenční autor: PhDr. Jana Horová, Západočeská univerzita v Plzni, Fakulta zdravotnických studií, katedra ošetřovatelství a porodní asistence, Náměstí Odboje 18, 301 00 Plzeň, Česká republika, (Print) • ISSN 1804-7122 (Online) o š e t ř o v a t e l s t v í Článek citujte takto: Horová J, Brabcová I, Krocová J. The effectiveness of intervention programs for preventing patients from falls. Kontakt 2017; 19(2): e105-e115; http://dx.
Background: Catheter-associated urinary tract infection (CAUTI) accounts for more than a third of healthcare-associated infections. Maintaining documentation on bladder catheterisation is one of the steps how to prevent the infections in question, and the electronic form of the documentation in the clinical information system is clearly recommended. aim: Among other things, the aim of the investigation was to map how to maintain the documentation on urinary catheterisation in hospitals providing acute inpatient care in the Czech Republic, what data is recorded and whether documentation audits are carried out. The relation between the data in the catheterisation documentation and the care of the patient with the urinary catheter and between the individual hospital types was also observed. Methods: Quantitative research. results and discussion: Ten record areas were observed: recording of the catheterisation date, name of the catheterisation performing health care professional, records of the catheter size and type catheter care, collection system replacement, indication and complications related to catheterisation, urine sampling for testing and results, and documentation audits 98.2% respondents confirmed keeping the records of the catheterisation date in the documentation. There were statistically significant differences in the type of hospital and answers to the questions whether urinary catheter care is always recorded in the documentation (p-value = 0.010, G = 13.253) and whether the replacement of the urinary system is always recorded (p-value = 0.002, G = 17.196). conclusion: The recommendation of professional companies in the case of CAUTI prevention is, among other measures, the maintenance of catheterisation documentation and, more importantly, control of the records.
Goal: The objective of this research was to determine whether hospitals have implemented risk management, including the monitoring of quality indicators related to the issue of prevention catheter-associated urinary tract infection. The monitoring of results and processrelated quality indicators is one of many steps that should be taken to increase quality and safety in patient care. Methods: This quantitative research was conducted in the form of a questionnaire survey. Results: Result indicator monitoring or recording the number of cases of catheter-associated urinary tract infection, is performed in 33.3% of hospitals, and records of the number of catheter-days are kept in only one quarter of hospitals. We also demonstrated a statistically significant relationship between the above and an increase in qualifications in correct catheterisation procedures, care for patients with urinary catheters, and possibilities of catheter-associated urinary tract infection prevention (p < 0.001; χ 2 = 18.473). Conclusions: Quality management and risk identification are the responsibility of the management of healthcare providers, while it is the responsibility of the healthcare workers to provide competent care according to approved procedures.
The goal of this study was to summarize the conclusions of the studies on the efficiency of measures regarding the prevention of healthcare associated urinary tract infections (CAUTI) and to focus on the specifics of nursing care in this area. The included studies and articles were searched for in the electronic databases focused on nursing and other medical fields. The sources were in full text (Cinahl, Ebsco, NursingOvid, ProQuest STM + Hospital Colection-Medline, Science Direct) and citation texts (PubMed, Scopus). They were used for secondary searching of relevant sources. We searched for the selected studies using the following keywords: prevention, risk, infection, urinary tract, efficiency, nursing, as well as according to our criteria (full text, reviewed periodicals, English language) and the period of publishing research results in the last 7 years (2011-2018). We finally included 11 studies that fulfilled the required criteria. The studies (qualitative, observational, quasi-experimental, descriptive) mostly specify the risky areas regarding healthcare associated urinary tract infections and deal with the efficiency of implemented preventative measures which arise from the recommended preventative guidelines CAUTI. Multifactorial measures seem to be positive-education of medical workers regarding the given issue, starting protocols regarding the care of patients with a urinary catheter, standards of care and accepting relevant indications regarding the catheterization of urinary bladder.
Kniha vychází pod záštitou Fakulty zdravotnických studií Západočeské univerzity v Plzni, Katedry ošetřovatelství a porodní asistence.Poděkování patří všem kolegům a kolegyním, kteří se na jejím vydání podíleli.Tato publikace neprošla jazykovou úpravou.
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